. "POZDN\u00CD KOMPLIKACE A REINTERVENCE PO IMPLANTACI STENTGRAFTU PRO SUBREN\u00C1LN\u00CD ANEURYZMA B\u0158I\u0160N\u00CD AORTY"@cs . "C\u00EDl. C\u00EDlem pr\u00E1ce je zhodnotit v\u00FDskyt pozdn\u00EDch komplikac\u00ED a reintervenc\u00ED po endovaskul\u00E1rn\u00ED l\u00E9\u010Db\u011B subren\u00E1ln\u00EDho aneuryzmatu b\u0159i\u0161n\u00ED aorty stentgraftem. Materi\u00E1l a metoda. Od dubna 1996 do prosince 2011 bylo na na\u0161em pracovi\u0161ti l\u00E9\u010Deno 270 pacient\u016F s aneuryzmatem b\u0159i\u0161n\u00ED aorty implantaci stentgraftu, z toho bylo 233 mu\u017E\u016F a 37 \u017Een ve v\u011Bku od 49 do 91 let. V\u011Bkov\u00FD pr\u016Fm\u011Br byl 68,7 let. Nejm\u00E9n\u011B rok po l\u00E9\u010Db\u011B byli sledov\u00E1ni 204 pacienti, u nich byl hodnocen v\u00FDskyt pozdn\u00EDch komplikac\u00ED (ruptura, migrace stentgraftu, endoleak, ischemick\u00E9 komplikace a z\u00E1n\u011Btliv\u00E9 komplikace) a reintervenc\u00ED. V\u00FDsledky. V souboru 204 nemocn\u00FDch bylo zji\u0161t\u011Bno 25 pozdn\u00EDch komplikac\u00ED, tj. 12, 3% (25/204), a bylo provedeno 21 reintervenc\u00ED, tj. 10,3 % (21/204). Z 25 komplikac\u00ED byl zji\u0161t\u011Bn endoleak I. typu 5kr\u00E1t, endoleak II. typu se zv\u011Bt\u0161en\u00FDm vakem aneuryzmatu 3kr\u00E1t, endoleak III. typu 4kr\u00E1t, endotension 3kr\u00E1t, migrace stentgraftu 4kr\u00E1t, ischemick\u00E9 komplikace 5kr\u00E1t a infekce lkr\u00E1t. Endoleaky I. typu a migrace byly \u0159e\u0161eny implantaci prodlu\u017Euj\u00EDc\u00EDho segmentu a migrace u jednoho nemocn\u00E9ho chirurgickou konverz\u00ED. Endoleaky III. typu byly l\u00E9\u010Deny implantaci stentgraftu a endoleaky II. typu podvazem nebo embolizac\u00ED zdroje. Endotension byla \u0159e\u0161ena perkut\u00E1nn\u00ED punkc\u00ED vaku aneuryzmatu s aspirac\u00ED jeho obsahu. U tromb\u00F3zy ram\u00E9nka byla provedena lkr\u00E1t trombektomie, 2kr\u00E1t byl na\u0161it femoro-femor\u00E1ln\u00ED zk\u0159\u00ED\u017Een\u00FD bypass, 1kr\u00E1t byla l\u00E9\u010Dba konzervativn\u00ED a 1kr\u00E1t byla provedena amputace kon\u010Detiny. Infekce stentgraftu byla \u0159e\u0161ena chirurgickou konverz\u00ED. Z\u00E1v\u011Br. Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba aneuryzmatu b\u0159i\u0161n\u00ED aorty je v na\u0161em souboru spojena s v\u00FDskytem pozdn\u00EDch komplikac\u00ED a reintervenc\u00ED v 12,3 %, resp. v 10,3 %, co\u017E se shoduje s liter\u00E1rn\u00EDmi \u00FAdaji. V\u011Bt\u0161inu t\u011Bchto pozdn\u00EDch komplikac\u00ED lze \u0159e\u0161it endovaskul\u00E1rn\u011B."@cs . "RIV/61989592:15110/12:33140304" . "Zapletalov\u00E1, Jana" . . . . "POZDN\u00CD KOMPLIKACE A REINTERVENCE PO IMPLANTACI STENTGRAFTU PRO SUBREN\u00C1LN\u00CD ANEURYZMA B\u0158I\u0160N\u00CD AORTY"@cs . "LATE COMPLICATIONS AND REINTERVENTIONS AFTER STENTGRAFT IMPLANTATION FOR SUBRENAL AORTIC ABDOMINAL ANEURYSM"@en . "Ut\u00EDkal, Petr" . "7"^^ . "160563" . . "[757F09F6E493]" . . "7"^^ . . "K\u00F6cher, Martin" . "15110" . . . . "C\u00EDl. C\u00EDlem pr\u00E1ce je zhodnotit v\u00FDskyt pozdn\u00EDch komplikac\u00ED a reintervenc\u00ED po endovaskul\u00E1rn\u00ED l\u00E9\u010Db\u011B subren\u00E1ln\u00EDho aneuryzmatu b\u0159i\u0161n\u00ED aorty stentgraftem. Materi\u00E1l a metoda. Od dubna 1996 do prosince 2011 bylo na na\u0161em pracovi\u0161ti l\u00E9\u010Deno 270 pacient\u016F s aneuryzmatem b\u0159i\u0161n\u00ED aorty implantaci stentgraftu, z toho bylo 233 mu\u017E\u016F a 37 \u017Een ve v\u011Bku od 49 do 91 let. V\u011Bkov\u00FD pr\u016Fm\u011Br byl 68,7 let. Nejm\u00E9n\u011B rok po l\u00E9\u010Db\u011B byli sledov\u00E1ni 204 pacienti, u nich byl hodnocen v\u00FDskyt pozdn\u00EDch komplikac\u00ED (ruptura, migrace stentgraftu, endoleak, ischemick\u00E9 komplikace a z\u00E1n\u011Btliv\u00E9 komplikace) a reintervenc\u00ED. V\u00FDsledky. V souboru 204 nemocn\u00FDch bylo zji\u0161t\u011Bno 25 pozdn\u00EDch komplikac\u00ED, tj. 12, 3% (25/204), a bylo provedeno 21 reintervenc\u00ED, tj. 10,3 % (21/204). Z 25 komplikac\u00ED byl zji\u0161t\u011Bn endoleak I. typu 5kr\u00E1t, endoleak II. typu se zv\u011Bt\u0161en\u00FDm vakem aneuryzmatu 3kr\u00E1t, endoleak III. typu 4kr\u00E1t, endotension 3kr\u00E1t, migrace stentgraftu 4kr\u00E1t, ischemick\u00E9 komplikace 5kr\u00E1t a infekce lkr\u00E1t. Endoleaky I. typu a migrace byly \u0159e\u0161eny implantaci prodlu\u017Euj\u00EDc\u00EDho segmentu a migrace u jednoho nemocn\u00E9ho chirurgickou konverz\u00ED. Endoleaky III. typu byly l\u00E9\u010Deny implantaci stentgraftu a endoleaky II. typu podvazem nebo embolizac\u00ED zdroje. Endotension byla \u0159e\u0161ena perkut\u00E1nn\u00ED punkc\u00ED vaku aneuryzmatu s aspirac\u00ED jeho obsahu. U tromb\u00F3zy ram\u00E9nka byla provedena lkr\u00E1t trombektomie, 2kr\u00E1t byl na\u0161it femoro-femor\u00E1ln\u00ED zk\u0159\u00ED\u017Een\u00FD bypass, 1kr\u00E1t byla l\u00E9\u010Dba konzervativn\u00ED a 1kr\u00E1t byla provedena amputace kon\u010Detiny. Infekce stentgraftu byla \u0159e\u0161ena chirurgickou konverz\u00ED. Z\u00E1v\u011Br. Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba aneuryzmatu b\u0159i\u0161n\u00ED aorty je v na\u0161em souboru spojena s v\u00FDskytem pozdn\u00EDch komplikac\u00ED a reintervenc\u00ED v 12,3 %, resp. v 10,3 %, co\u017E se shoduje s liter\u00E1rn\u00EDmi \u00FAdaji. V\u011Bt\u0161inu t\u011Bchto pozdn\u00EDch komplikac\u00ED lze \u0159e\u0161it endovaskul\u00E1rn\u011B." . "Aim. To evaluate the incidence of late complications and reinterventions after endovascular treatment of subrenal abdominal aortic aneurysm with stentgraft. Material and method. From April 1996 to December 2011 we treated 270 patients with abdominal aortic aneurysm endovascularly with stentgraft implantation at our department. There were 233 men and 37 women aged from 49 to 91 years. The average age was 68.7 years. 204 patients were followed for at least a year after treatment. In these patients incidence of late complications (rupture, migration, endoleak, ischemic complications and inflammatory complications) and reintervention were evaluated. Results. In a group of 204 patients 25 late complications were found, i.e. 12.3% (25/204) and 21 reinterventions were performed, i.e. 10.3% (21/204). From 25 complications there were endoleak type I 5x, endoleak type II with sac enlargement 3x, endoleak type III 4x, endotension 3x, stentgraft migration 4x, ischemic complications 5x and infection 1x. Type I endoleaks and migrations were treated with cuff implantation and with surgical conversion in 1 patient with migration. Endoleaks III were managed by stentgraft implantation and type II endoleaks with sac enlargement by ligation or embolization of source. Endotension was solved by percutaneous puncture of the aneurysm sac with content aspiration. The stentgraft arm thromboses were managed by thrombectomy 1x, femo-femoral crossover bypass was created 2x, conservative treatment 1x and leg amputation was performed 1x. Stent graft infection was managed by surgical conversion. Conclusion. Endovascular treatment of abdominal aortic aneurysm is associated with the occurrence of late complications and reintervention in 12.3% and 10.3%, which correlates with literature. Most of these late complications can be managed endovascularly."@en . "7"^^ . . . "\u010Cesk\u00E1 radiologie" . . . . "Dr\u00E1\u010D, Petr" . . "CZ - \u010Cesk\u00E1 republika" . "Bachleda, Petr" . "\u010Cern\u00E1, Marie" . "I" . "RIV/61989592:15110/12:33140304!RIV13-MSM-15110___" . "1210-7883" . . "66" . "Bu\u0159val, Stanislav" . . "LATE COMPLICATIONS AND REINTERVENTIONS AFTER STENTGRAFT IMPLANTATION FOR SUBRENAL AORTIC ABDOMINAL ANEURYSM"@en . . . . . "POZDN\u00CD KOMPLIKACE A REINTERVENCE PO IMPLANTACI STENTGRAFTU PRO SUBREN\u00C1LN\u00CD ANEURYZMA B\u0158I\u0160N\u00CD AORTY" . "reinterventions; late complications; stentgraft; aortic abdominal aneurysm"@en . "POZDN\u00CD KOMPLIKACE A REINTERVENCE PO IMPLANTACI STENTGRAFTU PRO SUBREN\u00C1LN\u00CD ANEURYZMA B\u0158I\u0160N\u00CD AORTY" . "2" .